Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $211.75 / $328.63	Facility		$134.41	$211.75	$328.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $134.41 / $326.20	Professional		$99.94	$134.41	$326.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.83 / $198.83 / $231.72	Professional		$198.83	$198.83	$231.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $222.27 / $538.90 / $538.90	Facility		$222.27	$538.90	$538.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $164.51 / $255.75 / $1,082.00	Professional		$164.51	$255.75	$1,082.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $214.99 / $358.99	Professional		$126.00	$214.99	$358.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $208.44 / $296.83	Facility		$113.46	$208.44	$296.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.46 / $203.50 / $304.94	Professional		$113.46	$203.50	$304.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $211.01 / $384.20	Professional		$38.26	$211.01	$384.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $233.85 / $240.53	Facility		$177.38	$233.85	$240.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.19 / $268.64 / $325.64	Professional		$175.19	$268.64	$325.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.34 / $229.87 / $306.33	Professional		$165.34	$229.87	$306.33
United Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $189.29 / $346.63	Professional		$127.04	$189.29	$346.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $124.27 / $124.27	Professional		$98.28	$124.27	$124.27